Agency Information Collection Activities: Proposed Collection; Comment Request

Federal Register, Volume 84 Issue 112 (Tuesday, June 11, 2019)
[Federal Register Volume 84, Number 112 (Tuesday, June 11, 2019)]
[Pages 27121-27123]
From the Federal Register Online via the Government Publishing Office []
[FR Doc No: 2019-12312]
Agency for Healthcare Research and Quality
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Agency for Healthcare Research and Quality, HHS.
ACTION: Notice.
SUMMARY: This notice announces the intention of the Agency for
Healthcare Research and Quality (AHRQ) to request that the Office of
Management and Budget (OMB) approve the proposed information collection
project: ``Hospital Survey on Patient Safety Culture Comparative
Database.'' In accordance with the Paperwork Reduction Act, AHRQ
invites the public to comment on this proposed information collection.
    This proposed information collection was previously published in
the Federal Register on March 19, 2019, and allowed 60 days for public
comment. AHRQ did not receive substantive comments. The purpose of this
notice is to allow an additional 30 days for public comment.
DATES: Comments on this notice must be received on or before 30 days
after date of publication.
ADDRESSES: Written comments should be submitted to: AHRQ's OMB Desk
Officer by fax at (202) 395-6974 (attention: AHRQ's desk officer) or by
email at [email protected] (attention: AHRQ's desk officer).
Clearance Officer, (301) 427-1477, or by email at
[email protected].
Proposed Project
Hospital Survey on Patient Safety Culture Comparative Database
    The Hospital Survey on Patient Safety Culture (Hospital SOPS) is
designed to enable hospitals to assess provider and staff perspectives
about patient safety issues, medical error, and error reporting. The
Hospital SOPS includes 42 items that measure 12 composites of patient
safety culture. AHRQ first made the Hospital SOPS publicly available,
along with a Survey User's Guide and other toolkit materials, in
November 2004 on the AHRQ website.
    The Hospital Survey on Patient Safety Culture Comparative Database
(Hospital SOPS Database) consists of data from
[[Page 27122]]
the Hospital SOPS and may include reportable, non-required supplemental
items. Hospitals in the U.S. can voluntarily submit data from the
survey to AHRQ, through its contractor, Westat. The Hospital SOPS
Database (OMB NO. 0935-0162, last approved on September 30, 2016) was
developed by AHRQ in 2006 in response to requests from hospitals
interested in tracking their own survey results. Those organizations
submitting data receive a feedback report, as well as a report of the
aggregated de-identified findings of the other hospitals submitting
data. These reports are used to assist hospital staff in their efforts
to improve patient safety culture in their organizations.
    Rationale for the information collection. The Hospital SOPS and the
Hospital SOPS Database support AHRQ's goals of promoting improvements
in the quality and safety of health care in hospital settings. The
survey, toolkit materials, and database results are all made publicly
available on AHRQ's website. Technical assistance is provided by AHRQ
through its contractor at no charge to hospitals, to facilitate the use
of these materials for hospital patient safety and quality improvement.
    This database will:
    (1) Present results from hospitals that voluntarily submit their
    (2) provide data to hospitals to facilitate internal assessment and
learning in the patient safety improvement process, and
    (3) provide supplemental information to help hospitals identify
their strengths and areas with potential for improvement in patient
safety culture.
    This study is being conducted by AHRQ through its contractor,
Westat, pursuant to AHRQ's statutory authority to conduct and support
research on health care and on systems for the delivery of such care,
including activities with respect to the quality, effectiveness,
efficiency, appropriateness and value of healthcare services and with
respect to surveys and database development. 42 U.S.C 299a(a)(1) and
Method of Collection
    To achieve the goal of this project the following activities and
data collections will be implemented:
    (1) Eligibility and Registration Form--The hospital point-of-
contact (POC) completes a number of data submission steps and forms,
beginning with the completion of an online Eligibility and Registration
Form. The purpose of this form is to collect basic demographic
information about the hospital and initiate the registration process.
    (2) Data Use Agreement--The purpose of the data use agreement,
completed by the hospital POC, is to state how data submitted by
hospitals will be used and provide privacy assurances.
    (3) Hospital Site Information Form--The purpose of the site
information form, also completed by the hospital POC, is to collect
background characteristics of the hospital. This information will be
used to analyze data collected with the Hospital SOPS survey.
    (4) Data Files Submission--POCs upload their data file(s), using
hospital data file specifications, to ensure that users submit
standardized and consistent data in the way variables are named, coded,
and formatted. The number of submissions to the database is likely to
vary each year because hospitals do not administer the survey and
submit data every year. Data submission is typically handled by one POC
who is either a patient safety manager in the hospital or a survey
vendor who contracts with a hospital to collect and submit their data.
POCs submit data on behalf of 3 hospitals, on average, because many
hospitals are part of a health system that includes many hospitals, or
the POC is a vendor that is submitting data for multiple hospitals.
Estimated Annual Respondent Burden
    Exhibit 1 shows the estimated annualized burden hours for the
respondents' time to participate in the database. An estimated 340
POCs, each representing an average of 3 individual hospitals each, will
complete the database submission steps and forms annually. Each POC
will submit the following:
     Eligibility and registration form (completion is estimated
to take about 3 minutes).
     Data Use Agreement (completion is estimated to take about
3 minutes).
     Hospital Information Form (completion is estimated to take
about 5 minutes).
     Survey data submission will take an average of one hour.
    The total annual burden hours are estimated to be 459 hours.
Exhibit 2 shows the estimated annualized cost burden based on the
respondents' time to submit their data. The cost burden is estimated to
be $26,572 annually.
                                  Exhibit 1--Estimated Annualized Burden Hours
                                                     Number of       Number of
                    Form name                      respondents/    responses per     Hours per     Total burden
                                                       POCs             POC          response          hours
Eligibility/Registration Form...................             340               1            3/60              17
Data Use Agreement..............................             340               1            3/60              17
Hospital Information Form.......................             340               3            5/60              85
Data Files Submission...........................             340               1               1             340
    Total.......................................             N/A             N/A             N/A             459
                                   Exhibit 2--Estimated Annualized Cost Burden
                                                     Number of
                    Form name                      respondents/    Total burden   Average hourly    Total cost
                                                       POCs            hours        wage rate *       burden
Eligibility/Registration Form...................             340              17          $57.89            $984
Data Use Agreement..............................             340              17           57.89             984
Hospital Information Form.......................             340              85           57.89           4,921
Data Files Submission...........................             340             340           57.89          19,683
[[Page 27123]]

    Total.......................................             N/A             N/A             N/A          26,572
* Mean hourly wage of $57.89 for Medical and Health Services Managers (SOC code 11-9111) was obtained from the
  May 2017 National Industry-Specific Occupational Employment and Wage Estimates NAICS 622000--Hospitals,
  located at
Request for Comments
    In accordance with the Paperwork Reduction Act, comments on AHRQ's
information collection are requested with regard to any of the
following: (a) Whether the proposed collection of information is
necessary for the proper performance of AHRQ's health care research and
health care information dissemination functions, including whether the
information will have practical utility; (b) the accuracy of AHRQ's
estimate of burden (including hours and costs) of the proposed
collection(s) of information; (c) ways to enhance the quality, utility
and clarity of the information to be collected; and (d) ways to
minimize the burden of the collection of information upon the
respondents, including the use of automated collection techniques or
other forms of information technology.
    Comments submitted in response to this notice will be summarized
and included in the Agency's subsequent request for OMB approval of the
proposed information collection. All comments will become a matter of
public record.
Virginia L. Mackay-Smith,
Associate Director.
[FR Doc. 2019-12312 Filed 6-10-19; 8:45 am]